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Bays Moneo, Ana Beatriz

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https://academica-e.unavarra.es/handle/2454/48685

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Bays Moneo

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Ana Beatriz

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Ciencias de la Salud

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0000-0002-8341-0405

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810061

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2021 - 20222
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Author: Albornos Muñoz, Laura ×

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    PublicationOpen Access
    Cost-effectiveness of an exercise programme that provided group or individual training to reduce the fall risk in healthy community-dwelling people aged 65-80: a secondary data analysis
    (MDPI, 2021) Aranda Reneo, Isaac; Albornos Muñoz, Laura; Rich Ruiz, Manuel; Cidoncha Moreno, María Ángeles; Pastor López, Ángeles; Moreno Casbas, María Teresa; Otago Project Working Group; Bays Moneo, Ana Beatriz; Ciencias de la Salud; Osasun Zientziak
    Research has demonstrated that some exercise programs are effective for reducing fall rates in community-dwelling older people; however, the literature is limited in providing clear recommendations of individual or group training as a result of economic evaluation. The objective of this study was to assess the cost-effectiveness of the Otago Exercise Program (OEP) for reducing the fall risk in healthy, non-institutionalized older people. An economic evaluation of a multicenter, blinded, randomized, non-inferiority clinical trial was performed on 498 patients aged over 65 in primary care. Participants were randomly allocated to the treatment or control arms, and group or individual training. The program was delivered in primary healthcare settings and comprised five initial sessions, ongoing encouragement and support to exercise at home, and a reinforcement session after six months. Our hypothesis was that the patients who received the intervention would achieve better health outcomes and therefore need lower healthcare resources during the follow-up, thus, lower healthcare costs. The primary outcome was the incremental cost-effectiveness ratio, which used the timed up and go test results as an effective measure for preventing falls. The secondary outcomes included differently validated tools that assessed the fall risk. The cost per patient was USD 51.28 lower for the group than the individual sessions in the control group, and the fall risk was 10% lower when exercises had a group delivery. The OEP program delivered in a group manner was superior to the individual method. We observed slight differences in the incremental cost estimations when using different tools to assess the risk of fall, but all of them indicated the dominance of the intervention group. The OEP group sessions were more cost-effective than the individual sessions, and the fall risk was 10% lower.
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    PublicationOpen Access
    Prevalence of falls in noninstitutionalized people aged 65-80 and associations with sex and functional tests: a multicenter observational study
    (Wiley, 2022) Blanco Blanco, Joan; Albornos Muñoz, Laura; Costa Menen, María Àngels; García Martínez, Ester; Rubinat Arnaldo, Esther; Martínez Soldevila, Jordi; Moreno Casbas, María Teresa; Bays Moneo, Ana Beatriz; Gea Sánchez, Montserrat; Otago Project Working Group; Ciencias de la Salud; Osasun Zientziak
    Falls have a considerable impact on the functional prognosis of older adults. The main focus of this multicenter, retrospective, observational study was to xamine the prevalence of falls in Spanish people aged 65-80 years still living at home. The secondary aims included examining the overall sociodemographic and clinical variables associated with a history of falls and then stratifying these findings by sex. We also aimed to determine the differences between sexes with regard to the history and consequences of falls and to evaluate associations between fall history and functional performance tests. The 747 older adults had all participated in the otago exercise program, which is a progressive home program of strength, balance, and endurance exercises. They were recruited by nurses in 21 primary care centers in 10 Spanish provinces between September 2017 to December 2018. The participants' mean age was 72.2 (SD: 4.3) years, and 67% were women. We recorded sociodemographic and clinical variables, functional performance test results, and any falls and/or injuries in the last 12 months. We found that 32% had fallen, 36% of those had fallen more than once, and 48% had sustained injuries when they fell. The bivariate analysis showed that women had more than twice the odds of falling than men and that living alone and being obese or overweight increased the odds of a fall, although living alone was not associated with falls in the multivariable analysis. Our results could guide the development of risk-specific fall prevention programs to prevent disabilities in older people.